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APPROACH TO VASCULAR ANOMALIES IN HUMANS

机译:人类血管异常的方法

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Vascular anomalies are rare congenital malformations of the arterial, venous, and lymphatic systems in humans. Most are present in utero or at the time of birth. Most will progress and cause significant problems for patients. Only the benign hemangioma of infancy regresses on its own without treatment. Roughly 4.5% of the pediatric population under the age of 7 is affected by vascular anomalies. The majority of these anomalies are benign; however, they can have very malignant sequelae. Daily activities of life are severely restricted when pain, swelling, or bleeding occurs. Not much is known about the genetics of the malformations; however, biologic markers associated with the anomalies have been discovered. A better understanding of these conditions has helped to further classify the anomalies beyond tumors and malformations. Many of which are associated with syndromes. The International Society for the Study of Vascular Anomalies (ISSVA) was founded in 1992 to research, define, and recommend treatments for them. Imaging is crucial in the diagnosis and treatment. Prior to endovascular techniques, surgery was the only option for attempted resection and control. However, surgery has less than favorable outcomes if the entire anomaly cannot be resected. A few multi-specialty clinics and treatment centers have arisen to manage such cases. These teams consist of plastic surgeons, vascular surgeons, and interventional radiologists to name a few. A thorough understanding of the imaging, anatomy, and potential complications of surgery or intervention is crucial to the success of managing the vascular anomalies.
机译:血管异常是人类动脉,静脉和淋巴系统的罕见先天性畸形。大多数是子宫或出生时存在的存在。大多数人将进展并对患者造成重大问题。只有婴儿血管血管瘤的营养血管瘤只在自己的情况下返回。大约4.5%的儿科人口下的7岁以下受血管异常的影响。这些异常的大多数是良性的;然而,它们可以具有非常恶性的后遗症。当发生疼痛,肿胀或出血时,每日生命活动受到严重限制。对畸形的遗传而言并不多;然而,已经发现了与异常的生物学标志物。更好地了解这些条件有助于进一步分类肿瘤和畸形的异常。其中许多与综合征有关。国际血管异常研究社会(ISSVA)成立于1992年,为他们研究,定义和推荐治疗。成像在诊断和治疗中至关重要。在血管内技术之前,手术是企图切除和控制的唯一选择。然而,如果无法切除整个异常,手术仍然不足。出现了一些多种特种诊所和治疗中心来管理此类案例。这些团队包括整形外科医生,血管外科医生和介入放射学家的名称。彻底了解手术或干预的成像,解剖学和潜在并发症对管理血管异常的成功至关重要。

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